| Mclaren Macomb | |
|
1000 Harrington Blvd. Mount Clemens MI 48043 | |
| (586) 493-8000 | |
| Not Available |
| Full Name | Mclaren Macomb |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Harrington Blvd., Mount Clemens, Michigan |
| Authorized Official Name and Position | Thomas M Brisse (CEO) |
| Authorized Official Contact | 5864938083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclaren Macomb 401 S Ballenger Hwy Flint MI 48532-3638 Ph: (810) 342-1000 | Mclaren Macomb 1000 Harrington Blvd. Mount Clemens MI 48043 Ph: (586) 493-8000 |
| NPI Number | 1396014601 |
|---|---|
| Provider Enumeration Date | 12/16/2011 |
| Last Update Date | 05/23/2018 |
| Medicare PECOS PAC ID | 8921912791 |
|---|---|
| Medicare Enrollment ID | O20040120001000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396014601 | NPI | - | NPPES |
| Provider Name | Jeffrey Carroll |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255360897 PECOS PAC ID: 3577477512 Enrollment ID: I20031114000251 |
| Provider Name | John Q Dickey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588657076 PECOS PAC ID: 8123915568 Enrollment ID: I20040302000026 |
| Provider Name | Eric L Zimmerman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053316059 PECOS PAC ID: 2961393848 Enrollment ID: I20040322000594 |
| Provider Name | David Moses |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952389231 PECOS PAC ID: 2769474543 Enrollment ID: I20040401000299 |
| Provider Name | Theresa Marie Chapman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881792182 PECOS PAC ID: 8729077458 Enrollment ID: I20040508000205 |
| Provider Name | Roy E Hanks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912997073 PECOS PAC ID: 4587653886 Enrollment ID: I20040511001117 |
| Provider Name | Michael J D Almeida |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578553640 PECOS PAC ID: 7517955057 Enrollment ID: I20040511001188 |
| Provider Name | Douglas G Paulk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750372405 PECOS PAC ID: 0547258071 Enrollment ID: I20040511001245 |
| Provider Name | Stephen D Cahill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295725620 PECOS PAC ID: 4981692415 Enrollment ID: I20040511001291 |
| Provider Name | James H Mcquiston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053302091 PECOS PAC ID: 2163410606 Enrollment ID: I20040511001377 |
| Provider Name | Shannon Mcmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376692855 PECOS PAC ID: 5799766234 Enrollment ID: I20040528001016 |
| Provider Name | Brian M Litch |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538141262 PECOS PAC ID: 0345210134 Enrollment ID: I20040729000226 |
| Provider Name | Neena Bhargava |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245288232 PECOS PAC ID: 2264405661 Enrollment ID: I20040813001241 |
| Provider Name | Stacey Lynne Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710982434 PECOS PAC ID: 0648243014 Enrollment ID: I20040820000548 |
| Provider Name | Beth M Wendt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972505501 PECOS PAC ID: 6800860313 Enrollment ID: I20040820001027 |
| Provider Name | Valal K George |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528023892 PECOS PAC ID: 8022060508 Enrollment ID: I20050211000877 |
| Provider Name | Renata B Rossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720089550 PECOS PAC ID: 2769436435 Enrollment ID: I20050304000691 |
| Provider Name | Enid A Roberts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164445748 PECOS PAC ID: 8325093057 Enrollment ID: I20050317000307 |
| Provider Name | Poonam Goel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134292469 PECOS PAC ID: 3779539911 Enrollment ID: I20050330000770 |
| Provider Name | Catherine Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770565632 PECOS PAC ID: 3971542481 Enrollment ID: I20050425001048 |
| Provider Name | Christopher R Nicholas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326030446 PECOS PAC ID: 7315983525 Enrollment ID: I20050926000411 |
| Provider Name | Sara H Garmel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285685503 PECOS PAC ID: 8729013362 Enrollment ID: I20051003000066 |
| Provider Name | Mandip Singh Atwal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972573061 PECOS PAC ID: 7810922192 Enrollment ID: I20051005000934 |
| Provider Name | Christie Ann Schunemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013909001 PECOS PAC ID: 9436176559 Enrollment ID: I20051028000113 |
| Provider Name | John Robert Pradko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619956497 PECOS PAC ID: 8022092618 Enrollment ID: I20051109000858 |
| Provider Name | Ho Sheng Lin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528008075 PECOS PAC ID: 5991607608 Enrollment ID: I20051118000092 |
| Provider Name | George H Yoo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396783460 PECOS PAC ID: 2466354170 Enrollment ID: I20051118000164 |
| Provider Name | Carl Matthew Pesta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114983913 PECOS PAC ID: 5890714661 Enrollment ID: I20051122000427 |
| Provider Name | Gail Elizabeth Macintyre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508933839 PECOS PAC ID: 5496776783 Enrollment ID: I20051215000540 |
| Provider Name | Georgia H Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720037708 PECOS PAC ID: 6406878651 Enrollment ID: I20051230000624 |
| Provider Name | James J Giliberto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629057054 PECOS PAC ID: 6608821335 Enrollment ID: I20060314000413 |
| Provider Name | Gregory S Gaborek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679572465 PECOS PAC ID: 4284641531 Enrollment ID: I20060406000282 |
| Provider Name | Scott I Sircus |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295724060 PECOS PAC ID: 8224057625 Enrollment ID: I20060615000231 |
| Provider Name | Alex Martin Steinbock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427055342 PECOS PAC ID: 8224040811 Enrollment ID: I20060623000129 |
| Provider Name | Carol M Fischer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205888773 PECOS PAC ID: 5092728170 Enrollment ID: I20060712000160 |
| Provider Name | Osama M Elsabagh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457420416 PECOS PAC ID: 9234138694 Enrollment ID: I20061212000434 |
| Provider Name | Sarah M Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649220708 PECOS PAC ID: 7012919616 Enrollment ID: I20070212000202 |
| Provider Name | Stephen M Olson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205885977 PECOS PAC ID: 9830191188 Enrollment ID: I20070215000358 |
| Provider Name | Mimi M Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003865874 PECOS PAC ID: 6608878954 Enrollment ID: I20070215000418 |
| Provider Name | Thomas L Alderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962450437 PECOS PAC ID: 0547366254 Enrollment ID: I20070426000013 |
| Provider Name | Timothy D Logan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477763779 PECOS PAC ID: 0840383840 Enrollment ID: I20070907000143 |
| Provider Name | Gregory Michael Norris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821203274 PECOS PAC ID: 5496849333 Enrollment ID: I20070921000717 |
| Provider Name | Linda Lu R Kosal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477765832 PECOS PAC ID: 0244324903 Enrollment ID: I20070926000193 |
| Provider Name | Jeevaka W Yapa |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1013957281 PECOS PAC ID: 1052496940 Enrollment ID: I20080318000133 |
| Provider Name | Marissa B Catalan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619935921 PECOS PAC ID: 8123105459 Enrollment ID: I20080410000295 |
| Provider Name | Michael B Deyoung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487861043 PECOS PAC ID: 5799857363 Enrollment ID: I20080626000676 |
| Provider Name | Michael Adelard Carron |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568670156 PECOS PAC ID: 5496827941 Enrollment ID: I20080628000110 |
| Provider Name | Alexander Ajlouni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679500284 PECOS PAC ID: 4385606870 Enrollment ID: I20080809000065 |
| Provider Name | Ronald L Meisel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851338156 PECOS PAC ID: 7214830132 Enrollment ID: I20090302000588 |
| Provider Name | Lisa M Langenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265430391 PECOS PAC ID: 0143327767 Enrollment ID: I20090313000098 |
| Provider Name | Andrew F Ajluni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871799833 PECOS PAC ID: 2769553767 Enrollment ID: I20090812000623 |
| Provider Name | Tammy S Dusevic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255308615 PECOS PAC ID: 8527113612 Enrollment ID: I20090825000418 |
| Provider Name | Katherine L Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922051358 PECOS PAC ID: 0345386546 Enrollment ID: I20091001000115 |
| Provider Name | Richard J Chalmers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619174505 PECOS PAC ID: 0648310144 Enrollment ID: I20091214000601 |
| Provider Name | Andrea K Dorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245469592 PECOS PAC ID: 1355486382 Enrollment ID: I20100302000804 |
| Provider Name | James Lawrence Kehoe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326095241 PECOS PAC ID: 0244367670 Enrollment ID: I20100423000151 |
| Provider Name | Kevin P Hanlon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932156932 PECOS PAC ID: 9032012950 Enrollment ID: I20100602000374 |
| Provider Name | Gregory V Mcintosh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184688665 PECOS PAC ID: 5092602573 Enrollment ID: I20100814000168 |
| Provider Name | Yasser Hassane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063563476 PECOS PAC ID: 9335271733 Enrollment ID: I20100901000843 |
| Provider Name | Syed Naweed Raza |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801109277 PECOS PAC ID: 6901921493 Enrollment ID: I20100921001161 |
| Provider Name | Sanjay A Vora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467459180 PECOS PAC ID: 7810955911 Enrollment ID: I20101118000668 |
| Provider Name | Scott M Wilkinson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184812992 PECOS PAC ID: 9436115904 Enrollment ID: I20101202001163 |
| Provider Name | Amjad M Yaish |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598791931 PECOS PAC ID: 0244411429 Enrollment ID: I20110221000977 |
| Provider Name | Margaret E Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346544145 PECOS PAC ID: 6204019748 Enrollment ID: I20110322000310 |
| Provider Name | Sheryl L Shoebottom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629373253 PECOS PAC ID: 6103000849 Enrollment ID: I20110405000385 |
| Provider Name | Robert J Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801194436 PECOS PAC ID: 1951585199 Enrollment ID: I20110412000711 |
| Provider Name | Dunyue Lu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003012634 PECOS PAC ID: 8022296755 Enrollment ID: I20110629000273 |
| Provider Name | Timothy S Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659303626 PECOS PAC ID: 1850568114 Enrollment ID: I20120127000207 |
| Provider Name | Nikesh Ardeshna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255541363 PECOS PAC ID: 6507937448 Enrollment ID: I20120420000393 |
| Provider Name | Aniel Q Majjhoo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053552679 PECOS PAC ID: 7416113550 Enrollment ID: I20120718000430 |
| Provider Name | Tara Eastin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558568931 PECOS PAC ID: 1557531886 Enrollment ID: I20120914000027 |
| Provider Name | Bharath Naravetla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477741890 PECOS PAC ID: 1658421789 Enrollment ID: I20130109000406 |
| Provider Name | Matthew D Andrews |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326317785 PECOS PAC ID: 4789837279 Enrollment ID: I20130111000466 |
| Provider Name | Andrew Jablonowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083954770 PECOS PAC ID: 0345485264 Enrollment ID: I20130326000204 |
| Provider Name | Christopher Robert Vitale |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679884068 PECOS PAC ID: 8628216934 Enrollment ID: I20130528000666 |
| Provider Name | Mahmoud Rayes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942464961 PECOS PAC ID: 6507005428 Enrollment ID: I20130625000289 |
| Provider Name | Simran Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649406349 PECOS PAC ID: 3274775952 Enrollment ID: I20130808000405 |
| Provider Name | Michael Willoughby |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1457589582 PECOS PAC ID: 8123253598 Enrollment ID: I20131021001859 |
| Provider Name | Ylli Alla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871809996 PECOS PAC ID: 1254568330 Enrollment ID: I20131217000625 |
| Provider Name | Robert F Carson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003044462 PECOS PAC ID: 9234362633 Enrollment ID: I20140509001837 |
| Provider Name | Alissa Marie Clyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699032011 PECOS PAC ID: 5294958443 Enrollment ID: I20140516000145 |
| Provider Name | Melissa Ianitelli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497066963 PECOS PAC ID: 0345470928 Enrollment ID: I20140728001385 |
| Provider Name | Jennifer Gamble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932599073 PECOS PAC ID: 8325365091 Enrollment ID: I20150318001561 |
| Provider Name | Ashley Harnden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144531500 PECOS PAC ID: 4183943871 Enrollment ID: I20150615000457 |
| Provider Name | Sibin Kuttemperoor Zacharias |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750544268 PECOS PAC ID: 2567693435 Enrollment ID: I20150715001378 |
| Provider Name | Faesal E Elbakoush |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336545417 PECOS PAC ID: 1355655705 Enrollment ID: I20150730010790 |
| Provider Name | Cassandra N Ramar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396032090 PECOS PAC ID: 2264751957 Enrollment ID: I20150929000235 |
| Provider Name | Veronica Takov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316387533 PECOS PAC ID: 6002129947 Enrollment ID: I20160711001319 |
| Provider Name | Michael A Wagner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225349665 PECOS PAC ID: 5890014583 Enrollment ID: I20160927001850 |
| Provider Name | Danielle Marie Downs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376094177 PECOS PAC ID: 2062792658 Enrollment ID: I20161219000926 |
| Provider Name | Daniel S Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043613649 PECOS PAC ID: 4789965617 Enrollment ID: I20170106001580 |
| Provider Name | Ryan J Nelson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194955831 PECOS PAC ID: 4183937055 Enrollment ID: I20170419000650 |
| Provider Name | Joseph Cuppari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538470067 PECOS PAC ID: 0749509438 Enrollment ID: I20170524002644 |
| Provider Name | Robert L Elgin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053674101 PECOS PAC ID: 9436443173 Enrollment ID: I20170605002244 |
| Provider Name | Jay Mohan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366882656 PECOS PAC ID: 2567755267 Enrollment ID: I20170613002619 |
| Provider Name | Lindsey A Lietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225551583 PECOS PAC ID: 2466726906 Enrollment ID: I20170921001270 |
| Provider Name | Jeffrey Morris Hotaling |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649596800 PECOS PAC ID: 5890008247 Enrollment ID: I20180115000498 |
| Provider Name | Victor M Hunyadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275915092 PECOS PAC ID: 3779898473 Enrollment ID: I20180521000987 |
| Provider Name | Katie M Rosen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548600984 PECOS PAC ID: 8729308739 Enrollment ID: I20180619000125 |
| Provider Name | Hassan I Baydoun |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255775300 PECOS PAC ID: 7810243615 Enrollment ID: I20180710001053 |
| Provider Name | Garret Justin Holcomb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679987549 PECOS PAC ID: 8628371903 Enrollment ID: I20180712002861 |
| Provider Name | Nicholas T Barjaktarovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265826804 PECOS PAC ID: 4688987985 Enrollment ID: I20180720002362 |
| Provider Name | Angelica M Radzioch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306229018 PECOS PAC ID: 2163735036 Enrollment ID: I20180808003316 |
| Provider Name | Jennifer N Carty Mcintosh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215384177 PECOS PAC ID: 8628327152 Enrollment ID: I20180816002545 |
| Provider Name | John David Cramer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093078834 PECOS PAC ID: 3173827052 Enrollment ID: I20180830001204 |
| Provider Name | Jessica Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861988115 PECOS PAC ID: 9931450491 Enrollment ID: I20180921001246 |
| Provider Name | Michael Alexander Milshteyn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427318005 PECOS PAC ID: 2567734064 Enrollment ID: I20181116002397 |
| Provider Name | Danielle Holly Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053975714 PECOS PAC ID: 6305189481 Enrollment ID: I20190513000159 |
| Provider Name | Katherine Foley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164786570 PECOS PAC ID: 1951671957 Enrollment ID: I20190516000815 |
| Provider Name | Tina Crocenzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538638564 PECOS PAC ID: 7113260050 Enrollment ID: I20190516002849 |
| Provider Name | Amy E Oneil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104266881 PECOS PAC ID: 8527377704 Enrollment ID: I20190715002311 |
| Provider Name | Alexandra Bloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497215107 PECOS PAC ID: 4587991187 Enrollment ID: I20190805002898 |
| Provider Name | Corie Louise Seelbach |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487995106 PECOS PAC ID: 9537391982 Enrollment ID: I20190814000285 |
| Provider Name | Jonathon A Hinz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124368923 PECOS PAC ID: 6608099536 Enrollment ID: I20190823003337 |
| Provider Name | Jeninne Marie Melkonian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477039279 PECOS PAC ID: 0143650028 Enrollment ID: I20200416000837 |
| Provider Name | David Barton Doyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326499849 PECOS PAC ID: 5698068880 Enrollment ID: I20200826000762 |
| Provider Name | Lisa Brinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972124642 PECOS PAC ID: 2567889066 Enrollment ID: I20200828001940 |
| Provider Name | Dawn Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326650516 PECOS PAC ID: 6608294111 Enrollment ID: I20200916000245 |
| Provider Name | Ramandeep Mand |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831621408 PECOS PAC ID: 5395011290 Enrollment ID: I20201201000370 |
| Provider Name | Elle Porteous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861089500 PECOS PAC ID: 9830503218 Enrollment ID: I20210126001749 |
| Provider Name | Michael P Dick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013936814 PECOS PAC ID: 2264326743 Enrollment ID: I20210222002028 |
| Provider Name | Monica Joanna Petela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831781632 PECOS PAC ID: 9032525449 Enrollment ID: I20210310000784 |
| Provider Name | Qiwen Liang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144831884 PECOS PAC ID: 8527475292 Enrollment ID: I20210324001797 |
| Provider Name | Heather Marie Vanvallis-maczka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376137711 PECOS PAC ID: 7315354040 Enrollment ID: I20210325000923 |
| Provider Name | Alexander Dawson Kure |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962889402 PECOS PAC ID: 5193019792 Enrollment ID: I20210520000952 |
| Provider Name | Wael Abukwaik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801345798 PECOS PAC ID: 4486936192 Enrollment ID: I20210528000652 |
| Provider Name | Courtney Basone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770252421 PECOS PAC ID: 1052718541 Enrollment ID: I20210927001371 |
| Provider Name | Lindsey Nicole Farah-brunner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003159583 PECOS PAC ID: 3072911627 Enrollment ID: I20211012001344 |
| Provider Name | Angela M Dominka-sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194489716 PECOS PAC ID: 3870982416 Enrollment ID: I20211119001063 |
| Provider Name | Emily Kate Jarrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811660079 PECOS PAC ID: 1153712310 Enrollment ID: I20211222001582 |
| Provider Name | Evan Begun |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972965085 PECOS PAC ID: 0244521532 Enrollment ID: I20211227000640 |
| Provider Name | Dalia F Mansour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699127548 PECOS PAC ID: 3173800836 Enrollment ID: I20220630002329 |
| Provider Name | Travis C Washington |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932561024 PECOS PAC ID: 9335433812 Enrollment ID: I20220719002896 |
| Provider Name | Michael J Christofis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710337878 PECOS PAC ID: 9739472440 Enrollment ID: I20220822000858 |
| Provider Name | Sara Razmjou-schwarz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578090718 PECOS PAC ID: 3577831171 Enrollment ID: I20221010002982 |
| Provider Name | Tracy Shifflett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760190391 PECOS PAC ID: 4587035324 Enrollment ID: I20230113001803 |
| Provider Name | Zeinab Saghir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447783477 PECOS PAC ID: 0749602282 Enrollment ID: I20230721003261 |
| Provider Name | Abdul Ahad Choudhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083237184 PECOS PAC ID: 4486075918 Enrollment ID: I20230818001321 |
| Provider Name | Sara Renee Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811672280 PECOS PAC ID: 6103280292 Enrollment ID: I20230907002593 |
| Provider Name | Michelle Crystal Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780311126 PECOS PAC ID: 4981068566 Enrollment ID: I20230914003898 |
| Provider Name | Rekha Kostecke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285676940 PECOS PAC ID: 9537570122 Enrollment ID: I20231003002858 |
| Provider Name | Kristen Patricia Kuppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750096731 PECOS PAC ID: 2466800719 Enrollment ID: I20231127001939 |
| Provider Name | Marwa Hmady |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669041687 PECOS PAC ID: 2860897469 Enrollment ID: I20240131002296 |
| Provider Name | Ellen Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013781251 PECOS PAC ID: 5991148892 Enrollment ID: I20240207003835 |
| Provider Name | Debbie L. Dmytro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750014544 PECOS PAC ID: 9436596558 Enrollment ID: I20240326000406 |
| Provider Name | Courtney Saracino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063117661 PECOS PAC ID: 0345782256 Enrollment ID: I20240606003678 |
| Provider Name | Madeline Ruszala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760062814 PECOS PAC ID: 8426591082 Enrollment ID: I20240624003709 |
| Provider Name | Arshia Vahabzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497241368 PECOS PAC ID: 4385993328 Enrollment ID: I20240724002340 |
| Provider Name | Brayden Irving |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902488992 PECOS PAC ID: 3375945025 Enrollment ID: I20240826003633 |
| Provider Name | Hassan Dbouk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790807675 PECOS PAC ID: 7416022975 Enrollment ID: I20241120001053 |
Midwest Hospitalists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Inpatient Solutions Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 S Main St, Suite 3, Mount Clemens, MI 48043 Phone: 586-465-2879 Fax: 586-465-5424 | |
Mycare Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18 Market Street, Suite C, Mount Clemens, MI 48043 Phone: 586-783-2222 Fax: 586-783-6944 | |
Internal Medicine Associates Of Mt. Clemens, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 S Main St, Mount Clemens, MI 48043 Phone: 586-468-1600 Fax: 586-465-0329 | |
Gladstone A. Payton, D.o.,pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 247 Northbound Gratiot Ave, Mount Clemens, MI 48043 Phone: 586-468-8088 | |
Henry Ford Physician Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 S Main St, Mount Clemens, MI 48043 Phone: 586-468-1600 Fax: 586-465-0329 |